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Future Roper Hospital Campus

Roper St. Francis Healthcare is excited to introduce a new medical campus in North Charleston that will replace Roper Hospital in downtown Charleston. This state-of-the-art facility will bring top-quality care to families across the Lowcountry. With advanced technology, energy-saving designs and easy access from major highways, this campus is built to support patients and the community for generations to come.

Stay up-to-date with the latest news for Future Roper Hospital.

The plan for expansion

The campus will include a new hospital, an outpatient building and plenty of parking. Everything has been designed to meet the needs of the growing Lowcountry population. The flexible and energy-efficient design will ensure the hospital can keep up with changes in healthcare for many years.

Built with patients in mind

The new hospital is designed to create a calm and welcoming place for healing. Its key features include:

Bright spaces with lots of natural light
Flexible rooms that can change as needs grow
Spaces for families to relax while visiting loved ones
Green spaces and gardens to connect with nature

Progress and timeline

Planning and building a medical campus takes time and care. Here’s the timeline for the project:

Planning: March 2023 – July 2023
Design: November 2023 – April 2025
Construction: Completion by second quarter 2029

While the new campus is being built, Roper St. Francis Healthcare will continue to serve patients at its current locations.

What's happening at the site

Throughout 2025, the project moved from planning into visible progress on the hospital's foundation, setting the stage for vertical construction in 2026. Critical underground elements advanced during the fall months, including installation of utilities and completion of more than 2,000 concrete piles to support the building's podium and tower. In all, about 4,600 piles will anchor the building's weight into solid ground. Steps also were taken to secure major equipment needed for the hospital’s mechanical systems.

A mockup of the hospital exterior and excavation of an elevator pit are some of the most visible elements of the site. The elevator pit is enclosed with steel sheet piles that serve as a barrier from the surrounding soil. The site is teaming with crews and heavy equipment such as pile drivers and concrete trucks.

In March 2026, the former Verizon building – the largest structure remaining on the site – will be torn down. Structural steel installation will begin soon after that, anticipated in April. Work to enclose the building will start by the end of the year.